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The Physician’s Comprehensive Examination for Return to Sport

  • Frank R. Noyes
  • Sue Barber-WestinEmail author
Chapter

Abstract

The decision of when to release an athlete to unrestricted sports activities after major knee surgery is based on many factors, including successful completion of advanced rehabilitation, psychological readiness, completion of advanced neuromuscular training programs appropriate for the desired sport, and a comprehensive examination by the physician. This chapter details the essential components of the physician’s examination, including the assessment of knee motion, gait, patellofemoral indices, meniscus retears, ligament function, and use of appropriate imaging studies. Guidelines for the use of knee arthrometer testing (KT-2000) and muscle strength assessment are provided. Facilitation of communication with the entire medical team involved in the patient’s care may be accomplished using the International Knee Documentation Committee’s objective knee evaluation form. Our comprehensive evaluation and criteria for return to unrestricted sports activities are summarized.

Keywords

Orthopedic examination Knee ligament function Patellofemoral Radiographs 

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Cincinnati Sports Medicine and Orthopaedic CenterThe Noyes Knee InstituteCincinnatiUSA
  2. 2.Noyes Knee InstituteCincinnatiUSA

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